Although vaccination cards or home-based records are stored in a child’s home (as their name suggests), the health program often focuses on how health workers use these cards and not the role of parents and caregivers as their primary holders. We’ve learned that often parents are not aware of the importance of the vaccination cards or the need to preserve them. In some cases, parents never receive the card. But when the card’s purpose is explained to parents or caregivers, they protect them as a valuable record.
We set out to better understand whether smaller vaccine vial sizes could affect immunization coverage, timely coverage, and other factors in 14 districts of Zambia’s Central and Luapula Provinces.